Lesson Sign UpLessons Sign Up Participant Name* First Last Date of Birth Age Address* Street Address Address Line 2 City State ZIP Code Home PhoneParent #1 Name*Parent #1 Cell*Parent #1 Email Parent #2 NameParent #2 CellParent #2 Email Please select the appropriate residency*City of Grand HavenGrand Haven TownshipCity of FerrysburgVillage of Spring LakeSpring Lake TownshipRobinson TownshipPort Sheldon TownshipOtherProduct NameAll Programs start week of January 7th and run for 6 weeks with possible option to extend Class sizes are limited to ensure a good experience Lesson Clubs* PARK RATS Freestyle with Season Pass MON + WED 3:30-5:30pm PARK RATS Freestyle with Discount Pass MON + WED 3:30-5:30pm Milanowski/ HardebeckTotal $0.00 Credit CardAmerican ExpressDiscoverMasterCardVisa Card Number Month010203040506070809101112 Year20192020202120222023202420252026202720282029203020312032203320342035203620372038 Expiration Date Security Code Cardholder Name ** Rental equipment will be available for an additional cost of $35 to be paid at first lesson. ** If you will require rental equipment, please try to arrive early. Rentals are limited and subject to availability ** Helmets are required by all freestyle and race participants and strongly suggested for beginner lessons. ** If your ability does not match with the program that you choose to register, your money will be refunded. ** Concessions will NOT be available during lesson times. ** There are no refunds for any reasons after the first class has been attended.In consideration of myself OR my child participating in the snow sport related activities, and/or other activities offered by Mulligan’s Hollow Ski Bowl Association (MHSBA) I represent that I OR my child understand the nature of this Activity and that I am OR my child is qualified, in good health, and in proper physical condition to participate in such Activity. I acknowledge on behalf of myself OR my child that if I OR my child believe event/Activity conditions are unsafe we will immediately discontinue in the Activity. It is fully understood that this activity involves risks of serious bodily injury, including permanent disability, paralysis and/or death, which may be caused by my OR my child’s own actions or inactions, or those of others participating in the Activity, the conditions in which the Activity takes place, or the negligence of the “releases” named below, and there may be other risks either not known to me OR my child, or not readily foreseeable at this time; and I OR my child fully accept and assume all such risks and all responsibility for losses, costs and damages I OR my child might incur as a result of my OR my child’s participation in the Activity. I hereby release, discharge and covenant not sue MHSBA it’s respective administrators, directors, agents, officers, volunteers, and employees, any sponsors, advertisers, and, if applicable, owners and lessors of the premises on which the Activity takes place (each considered one of the “Releases” herein), and release and discharge them from all liability, claims, demands, losses, or damages on my account caused or alleged to be caused in whole or in part by the negligence of the “releases” or otherwise, including negligent rescue operations; and I further agree that if, despite this release, waiver of liability, and assumption of risk, that I, or anyone on my behalf OR on behalf of my child, makes a claim against any of the Releases, I will indemnify, save and hold harmless each of the Releases from any loss, liability, damage, or cost which may incur as the result of such claim. I have read this RELEASE AND WAIVER OF LIABILITY, ASSUMPTION OF RISK, AND INDEMNITY AGREEMENT, and understand that I have given up substantial rights by signing it, and have signed it freely and without any inducement or assurance of any nature, and intend it to be a complete and unconditional release of all liability to the greatest extent allowed by law, and agree that if any portion of this agreement/release agreement is held to be invalid the balance, notwithstanding, shall continue in full force and effect.I am aware that my money will not be refunded for any reason after the first class has been completed.* I have read and understand everything outlined above.